Coding Analyst Resume
Summary : To obtain a Coding Analyst position within an organization allows to challenge and obtain success for the employer and achieved satisfaction and accomplish career goals.
Skills : Typing, Medical Terminology, Filing, Computer, Data Entry, Customer Service.
Description :
- Identified data elements reflecting insurance industry practices and governmental rules and regulations.
- Analyzed and identified any physician business office updates to the service codes through a review of insurance correspondence and changes to the guidelines.
- Coordinated with the physician billing office coding and compliance Manager, business departments, and clinical departments on coding and billing updates.
- Supported and participated in the review of charging and coding issues with the business office departments and clinics.
- Synchronized coding standards and was responsible for such functions that span all physicians billing in Oregon.
- Added ICD and CPT codes based on provider documentation.
- Verified treatment performed and the correct code used for the procedure.
- Verified the ICD entered met medical necessity for the CPT code.
Experience
7-10 Years
Level
Management
Education
Bachelor's in CS
Coding Analyst Resume
Objective : Certified Professional Coder with over 5 years of experience in a Healthcare setting and knowledge in ICD, E/M coding experience as well as Auditing experience. Experienced with HCC Coding; utilizing 95 and 97 E/M documentation guidelines.
Skills : Medical Manager, McKesson Horizon Practice Plus,Encoder Pro, EMR-Future Net, Microsoft Office.
Description :
- Practiced Multi-Specialty Network Claim scrubber rejections pertaining to coding worked to its entirety.
- Provided training to new coding staff that comes on board to the Physician Coding and Compliance Dept.
- Responsible for E/M coding for Palliative Care and Infectious Disease.
- Researched specific coding guidelines for specific specialties and insurance carriers.
- Provided Education coding to charge entry staff at quarterly A/R meetings held at physician offices.
- Responsible for physician audits E/M documentation audits utilizing the 95 auditing tool.
- Documented audits on surgical procedures.
Experience
0-2 Years
Level
Entry Level
Education
ICD
Coding Analyst Resume
Objective : Over 5 years of experience as a Coding Analyst, worked in various administrative positions in Medical facilities. Knowledge of EMR systems, healthcare audits, and ensuring compliance along with code analysis.
Skills : Coding Experience, Critical thinking, Management.
Description :
- Performed audit review on charges during the practices go live with new EMR system.
- Reviewed office notes templates to ensure compliance and give the office and physicians suggestions and feedback on the notes reviewed.
- Provided coding education usually by group meetings and results are presented to the practice.
- Pulled 10 random charts and performed audit regarding the charges matching the documentation.
- Maintained constant communication with practices and providers during the transition into the new software and provide feedback on the documentation.
- Provided tools to the offices to ensure compliance is met by their documentation.
- Kept on up to date on new rules/guidelines regarding the surgical practices that are assigned.
Experience
0-2 Years
Level
Entry Level
Education
Bachelor's in CSE
Coding Analyst Resume
Objective : Seeking a Coding Analyst position with a progressive medical sector, and knowledge in 3M clinical encoder, and experiences in providing documentation for the development of the code.
Skills : CPT coding, Docuementing, Analysis.
Description :
- Selected, assigned and audited diagnostic and procedures codes to patient records for a 166-bed acute-care hospital.
- Worked collaboratively with patient financial services to ensure accurate billing and resolve claim denials and medical necessity issues.
- Reviewed medical documentation and consult with healthcare providers when documentation is inadequate or unclear for coding purposes.
- Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding.
- Increased hospital reimbursement by $500,000 through an intense physician query process.
- Worked closely with Administrative Consultant Service, LLC during inpatient and outpatient Medicare coding audits.
- Rapidly mastered Meditech and 3M clinical encoder software for fast, accurate coding and abstracting.
- Provided ongoing training to new coding staff on intricacies of inpatient and outpatient coding.
- Provided coding training to case management staff for the implementation of the clinical documentation improvement program.
Experience
2-5 Years
Level
Junior
Education
Bachelor's in CSE
Coding Analyst Resume
Objective : Secure a position with an organization that requires a highly motivated and committed individual with medical coding skills and a desire to innovate. Seeking a position with career growth potential.
Skills : Cerner, Allscripts, IDX, HealthQuest, Artiva, OnBase, Star Navigator, Epic.
Description :
- Responsible for reconciling DataRAP payment reports, processing payments and reports for participating providers, report deficiencies and recommend solutions, team with IT to resolve deficiencies.
- Responsible for producing various monthly reports and may provide documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel.
- Processed attestation sheets and progress notes out of the RightFax work queue according to DataRAP department guidelines.
- Analyzed progress notes and documentation sent by providers for validation following CMS guidelines and ICD-9 Coding Manual guidelines and enter final results into the appropriate tab of the DataRAP database.
- Provided clear communication, with the use of DataRAP application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note.
- Ensured accuracy of entry by comparing the outcome of diagnoses on attestation post validation entry.
- Identified and reported quality concerns and errors to DataRAP Clinical Process Quality Analyst for review and education.
- Responsible for providing coding support to the DataRAP Clinical Coding Nurses and to the providers participating in the DataRAP process.
Experience
0-2 Years
Level
Entry Level
Education
Diploma in CS
Coding Analyst Resume
Summary : Dedicated Coding Analyst Specialist seeking an opportunity to utilize skills and knowledge in the Healthcare Industry and experienced in HIPAA regulations.
Skills : EPIC, Organizing, Medicaid.
Description :
- Applied ICD.9 diagnostic codes to patient encounters in compliance with applicable state and federal statutes/guidelines and Care Level Management policies and procedures.
- Provided queries for additional information that may be needed to code encounters correctly according to applicable state and federal statutes/guidelines and CLM policies and procedures.
- Responsible for Risk Adjustment Coding Know and adhere to HIPAA regulations.
- Recognized, interpreted and evaluated inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor.
- Recognized data that is inadequate for coding purposes or in violation of coding guidelines and flag these encounters requiring additional clarification to the attention of the supervisor or physician.
- Utilized reference material such as ICD.9 Official Guideline, medical dictionary, Coder's Desk Reference, Coding Clinic, and NCCI edits.
- Maintained up to date knowledge of current coding guidelines and annual updates and changes.
- Met quality and productivity standards and deadlines/turnaround times established by CLM.
Experience
7-10 Years
Level
Management
Education
Medical Coding Specialist
Coding Analyst Resume
Headline : Analytical and precise individual looking for a remote position as a Coding Analyst utilizing profound knowledge of medical terminology with an acute understanding of CPT and ICD9/ICD10 coding.
Skills : Health Information Management, ICD-9 Coding, CPT Coding, Electronic Medical Records.
Description :
- Abstracted data from the electronic medical records to assign appropriate ICD-9CM and CPT codes.
- Coded all major and minor surgical cases performed both in the office and hospital setting.
- Coded all E/M visits, performed in both the office and hospital setting.
- Ensured all procedures are coded correctly for timely and accurate reimbursement from all payers.
- Edited software tools used by various insurance companies.CCI Edits, WebDenis, Mckesson Contract.
- Reviewed medical records and appended the correct ICD-9-CM codes.
- Reviewed co-workers ICD-9-CM codes to ensure documentation supports assigned code.
- Managed workload for each clinic and assigned to specific coders.
Experience
5-7 Years
Level
Executive
Education
Associate Coding Specialist
Coding Analyst Resume
Headline : Seeking a Medical Coder in a clinic or hospital where can utilize extensive computer, medical knowledge and strong organizational abilities.
Skills : HCC coding, Management.
Description :
- Received assigned medical charts to code both electronically and paper form Review medical charts electronically using a computer.
- Abstracted and coded diagnosis and documentation information Research and resolution of coding projects as assigned.
- Documented requested information from the medical record via Meditech.
- Determined valid encounters including legibility and valid signature requirements query physicians are missing/illegible.
- Identified valid face to face encounters. Performed ongoing analysis of medical record charts for the appropriate coding compliance.
- Requested medical charts from clinics to review.
- Coded and reviewed charts from multiple specialties.
Experience
5-7 Years
Level
Executive
Education
Medical Coding
Coding Analyst Resume
Summary : To obtain a medical coding position in which can use knowledge and skills acquired as a Coding Analyst and Patient Service Representative along with medical coding certificates, while continuing growth in abilities and career.
Skills : MS office, Lectora, Business Analysis, Project Management.
Description :
- Experienced with FP clinic coding as well as SDS coding of Gen Surg, Ortho, ENT and a variety of other Specialties.
- Assigned to Pro-fee OB/GYN coding of Clinic, SDS and deliveries.
- Worked denials and patient complaints.
- Provided on going education and feedback to providers and other clinic staff as needed.
- Responsible for all coding for over 30 different physicians.
- Specialized in five different areas of specialty.
- Delivered and utilized CPT, ICD-9, HCSPCS, 3m encoder and all channels thru the AAPC.
Experience
10+ Years
Level
Senior
Education
Coding
Coding Analyst Resume
Headline : As a Coding Analyst, performed routine audits of reports for services provided by a multi-speciality business office and abstract electronic medical records.
Skills : MS Office, Analysis, Management.
Description :
- Read and interpreted health information documentation to identify all diagnoses and procedures that affect the encounter.
- Possessed formal training in Anatomy and physiology, medical terminology, pathology and disease processes, health record formats and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD-9-CM and CPT).
- Applied knowledge of CPT format, guidelines and notes to locate the correct codes and to sequence properly for services rendered.
- Applied knowledge of procedural terminology to recognize when an unlisted procedure code is indicated.
- Coded in accordance with CCI Bundling Guidelines.
- Used the CMS Common Procedural Coding Systems (HCPCS) where appropriate.
- Utilized the CMS Medical Policy Center website to make sure medical necessity and comprehensive coding edits are meeting Medical guidelines .
Experience
5-7 Years
Level
Executive
Education
Certified Professional Coder